Individual provider Active NPI

Catherine Ha, DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1467948034
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.031671 Issued in IL
Practice address
3057 W Cermak Rd
Chicago, IL 60623-3548
Phone
(773) 257-0200
Fax
(773) 257-0227
NPI assigned
Jul 7, 2018
Last updated
Jul 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.031671 IL Primary

Addresses

Primary practice location

3057 W Cermak Rd
Chicago, IL 60623-3548

Mailing address

3215 N Elston Ave Apt 3N
Chicago, IL 60618-5850
Phone (847) 902-7249

Other practice location 1

2254 S Cicero Ave
Cicero, IL 60804-2411
Phone (708) 656-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.031671ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Experts, LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1467948034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 N ELSTON AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185850",
            "telephone_number": "847-902-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233548",
            "telephone_number": "773-257-0200",
            "fax_number": "773-257-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2254 S Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608042411",
            "country_code": "US",
            "telephone_number": "708-656-2222",
            "fax_number": "708-477-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.